Individual
JUSTIN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, CRNA
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
34 AUTUMN VALLEY DR, JACKSON, TN 38305-2312
(731) 499-0428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26454
TN
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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